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The Alar Fascia and Danger Space: A Modern Review
Tammy Phan1, Johnson Lay1, Frank Scali2
1School of Medicine, California University of Science and Medicine, Colton, USA.
Cureus
|January 26, 2023
Summary
The alar fascia is a distinct layer in the deep neck, potentially blocking infection spread to the danger space. Understanding this anatomy is vital for clinical practice and imaging.
Area of Science:
- Anatomy
- Deep cervical region
Background:
- The deep cervical fascia plays a critical role in compartmentalizing infections.
- The alar fascia's exact nature and function have been debated.
- Recent advancements offer new insights into deep neck anatomy.
Purpose of the Study:
- To review the current understanding of the alar fascia.
- To explore its clinical implications as an access point to the danger space.
- To provide an updated review of the alar fascia and danger space.
Main Methods:
- Comprehensive literature search of PubMed up to August 2022.
- Analysis of 32 plastinated head and neck slices using stereomicroscopy.
- Assessment of retropharyngeal, alar, and prevertebral fasciae morphology and continuity.
Main Results:
- The alar fascia is identified as a true fascial layer between the retropharyngeal and danger spaces.
- It is composed of dense connective tissue and may act as a barrier against infection spread.
- Complications of deep neck infections involving the danger space include mediastinitis and necrotizing fasciitis.
Conclusions:
- A thorough understanding of the alar fascia and danger space anatomy is essential.
- This knowledge aids in routine clinical assessment, particularly with imaging.
- Accurate anatomical knowledge is crucial for managing deep neck infections.
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